Volume 73 Number 1 January 2006	back to contents

1Attending and 2Fellow, Pain Management, Department of Anesthesiology and Pain Management, Mount Sinai School of Medicine, New York, NY.

Address all correspondence to Dima Rozen, M.D., Assistant Professor of Anesthesiology,

Director of Neuromodulation, Department of Anesthesiology and Pain Management, Box 1010, Mount Sinai Medical Center, One East 100th Street, New York, NY 10029-6574; e-mail: dimarozen@hotmail.com

Accepted for publication June 2005.

ABSTRACT

Botulinum toxin has been shown to effectively treat several types of neurological disorders. It has recently been evaluated for the treatment of tension-type headaches in patients who are unable to tolerate or cannot benefit from standard therapies. Most of the open design studies seem to present positive results. However, the randomized, double-blind, placebo-controlled studies present contradictory results for the efficacy of botulinum toxin. Based on these data, further controlled trials of botulinum toxin are needed to evaluate its effects on tension headaches and to determine optimal injection sites, doses, and frequency of treatments.

KEYWORDS

Botox, tension-type headache, headache.

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